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UHC Complete Care FL-14 (HMO-POS C-SNP)
Benefits Summary and Overview
This page is a benefits summary and overview of key plan information for UHC Complete Care FL-14 (HMO-POS C-SNP). The information on this page is a summary only.
For a complete listing of all available benefits and cost information on UHC Complete Care FL-14 (HMO-POS C-SNP) in 2026, please refer to our full plan details page.
UHC Complete Care FL-14 (HMO-POS C-SNP) is a HMO-POS C-SNP plan offered by UnitedHealth Group, Inc. available for enrollment in 2025 to people living in Select Counties in Florida. This plan received an overall rating of 4.5 out of 5 stars in 2026.
It's important to know that UHC Complete Care FL-14 (HMO-POS C-SNP) is a Medicare Advantage (MA) Plan with drug coverage. That means that this plan covers both medical services and prescription drugs.
Important:
UHC Complete Care FL-14 (HMO-POS C-SNP)is a Special Needs Type (SNP) plan. This means you can only enroll in this plan if you meet specific criteria. See our full plan details page for more information.
Key Plan Facts
Below are a few key facts and commonly-asked questions about UHC Complete Care FL-14 (HMO-POS C-SNP).
Plan Costs:
The cost of a Medicare Advantage Plan is made up of four main parts.
- First, the monthly premium — the amount you pay every month.
- Second, the deductible — the amount you pay out of pocket for covered services before the plan starts paying.
- Third, the copayments and coinsurance — the amounts you pay out of pocket for covered services, usually after meeting the deductible (if applicable). Copays are fixed dollar amounts; coinsurance is a percentage of the cost.
- Fourth, the Out-of-Pocket Maximum — the maximum amount you could have to pay out of pocket in a year. This may be different for in-network and out-of-network services.
For UHC Complete Care FL-14 (HMO-POS C-SNP), the main costs are as follows:
Monthly Premium
The Monthly Premium for this plan is $0.00. This is the amount you must pay every month. Additionally, this plan comes with a Part B Premium reduction of $43.00. You must continue to pay paying your reduced Part B Premium.
Deductibles
This plan does not have a health deductible. Your insurance coverage on covered health services will start immediately.
This plan has a $270.00 drug deductible. You will need to pay this amount towards covered prescriptions before your insurance coverage for prescription medications kicks in.
Out-of-Pocket Maximums
This plan has a Maximum Out-Of-Pocket cost of $3400.00 for out-of-network services. You will pay copays, coinsurance, and deductibles toward this amount. Once your total out-of-pocket costs reach $0.00 for in-network covered services, the plan will pay 100% of in-network covered costs for the rest of the year.
You can see below for the coinsurance and specific copayments for in the Additional Benefits section below, or refer to our Plan Details page for more details.
Common Services:
Doctor Visits:
Specialist Visits:
Emergency Room:
Urgent Care:
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Drug Coverage
The UHC Complete Care FL-14 (HMO-POS C-SNP) plan features an annual prescription drug deductible of $270. Beneficiaries enjoy no copay for Tier 1 preferred generic and Tier 2 generic medications filled at standard pharmacies or through standard mail order. This zero-cost coverage applies to both one-month and three-month supplies of these generic drugs. For brand-name and specialty medications, costs are structured as coinsurance percentages. Tier 3 preferred brand drugs require a 25% coinsurance, while Tier 4 non-preferred drugs carry a 44% coinsurance. Specialty drugs in Tier 5 require a 30% coinsurance for a one-month supply at standard pharmacies and standard mail order.
Additional Benefits
The UHC Complete Care FL-14 (HMO-POS C-SNP) plan offers comprehensive coverage with many essential healthcare services featuring no copay and no coinsurance. Members enjoy no copays for primary care visits, telehealth, annual physical exams, and home health services. For acute medical needs, inpatient hospital stays require a $245 daily copay for the first seven days and no copay for days 8 through 90, while emergency room visits carry a $150 copay that is waived upon admission. Specialist consultations, diagnostic lab tests, and preventive dental care are highly affordable, ranging from no copay to a maximum $30 copay with no coinsurance. For specialized medical needs like durable medical equipment, dialysis, and Medicare-covered dental services, members will pay no copay and a 20% coinsurance. Routine vision and hearing exams are fully covered with no copay, alongside allowances and predictable copays for eyewear and hearing aids.
Inpatient Hospital See details
UHC Complete Care FL-14 (HMO-POS C-SNP) offers partially covered inpatient hospital services with no coinsurance, requiring a $245 daily copay for days 1 through 7 and no copay for days 8 through 90. While unlimited additional acute hospital days are covered with no copay, non-Medicare-covered stays, hospital upgrades, and additional psychiatric days are not covered.
Outpatient Services See details
UHC Complete Care FL-14 (HMO-POS C-SNP) covers outpatient services with no coinsurance, including ambulatory surgical center and blood services which also feature no copays. Outpatient hospital services require no coinsurance and a copay of $0 to $245, while outpatient substance abuse services have no coinsurance and copays ranging from $0 to $25.
Partial Hospitalization See details
Partial hospitalization is covered by the UHC Complete Care FL-14 (HMO-POS C-SNP) plan with a $55.00 copay and no coinsurance. Prior authorization is required to receive these covered services.
Ambulance and Transportation Services See details
UHC Complete Care FL-14 (HMO-POS C-SNP) covers ground and air ambulance services with a $150 copay and no coinsurance, though prior authorization is required. While some transportation services are covered, trips to plan-approved or any health-related locations are not covered.
Emergency Services See details
UHC Complete Care FL-14 (HMO-POS C-SNP) covers emergency services with a $150 copay and no coinsurance, with the copay waived if you are admitted to the hospital within 24 hours. Urgently needed services require a copay ranging from no copay to $65 with no coinsurance, while worldwide emergency, urgent, and transportation services are offered with no copay and no coinsurance.
Primary Care See details
UHC Complete Care FL-14 (HMO-POS C-SNP) covers primary care and telehealth services with no copay and no coinsurance, while specialist and therapy visits range from a $0 to $30 copay with no coinsurance. Chiropractic services are partially covered with a $20 copay and no coinsurance, as routine and other chiropractic services are not covered. Mental health, psychiatric, podiatry, and opioid services are also covered with no coinsurance and copays ranging from $0 to $30.
Preventive Services See details
UHC Complete Care FL-14 (HMO-POS C-SNP) covers preventive services, including annual physical exams, kidney disease education, glaucoma screenings, and diabetes self-management training, with no copay and no coinsurance. Additional preventive services are partially covered, offering fitness benefits and home safety devices with no copay and no coinsurance, while sub-services like health education, in-home safety assessments, personal emergency response systems, and medical nutrition therapy are not covered.
Hearing Services See details
Hearing services are partially covered by UHC Complete Care FL-14 (HMO-POS C-SNP), which includes one annual routine hearing exam with no copay and no coinsurance, though hearing aid fitting and evaluation services are not covered. Up to two prescription hearing aids per year are covered with a copay of $199.00 to $1,249.00 and no coinsurance (excluding inner, outer, and over-the-ear types), while up to two over-the-counter hearing aids are covered with a copay of $199.00 to $829.00 and no coinsurance.
Vision Services See details
UHC Complete Care FL-14 (HMO-POS C-SNP) offers partially covered vision services with no coinsurance, providing one routine eye exam annually with no copay, though other eye exam services are not covered. Covered eyewear has no coinsurance and a $300 limit every two years, including contact lenses and eyeglass frames with no copay, and eyeglass lenses with a $0 to $153 copay, while upgrades and combined eyeglasses (lenses and frames) are not covered.
Dental Services See details
UHC Complete Care FL-14 (HMO-POS C-SNP) partially covers dental services, offering Medicare-covered dental with no copay and 20% coinsurance, and preventive services like cleanings, exams, and x-rays with no copay and no coinsurance. However, orthodontic, restorative, endodontic, periodontic, prosthodontic, oral surgery, implant, adjunctive general, and other diagnostic dental services are not covered.
Home Infusion bundled Services See details
Home infusion bundled services are covered by UHC Complete Care FL-14 (HMO-POS C-SNP) with no copay, though prior authorization is required. Covered Medicare Part B drugs, including chemotherapy and radiation, have no copay and range from no coinsurance to 20% coinsurance, while insulin drugs require a $35 copay and up to 20% coinsurance.
Dialysis Services See details
Dialysis Services are covered by UHC Complete Care FL-14 (HMO-POS C-SNP) with no copay and a 20% coinsurance. Prior authorization and a referral are required for these services.
Medical Equipment See details
UHC Complete Care FL-14 (HMO-POS C-SNP) covers durable medical equipment and prosthetic devices with no copay and a 20% coinsurance. Diabetic equipment and supplies are fully covered with no copay and no coinsurance, though prior authorization is required for these benefits and diabetic supplies are limited to specified manufacturers.
Diagnostic and Radiological Services See details
UHC Complete Care FL-14 (HMO-POS C-SNP) covers diagnostic and radiological services with no coinsurance, though prior authorization is required. Members pay no copay for lab services and diagnostic radiological services, a $5 copay for diagnostic procedures or tests and outpatient X-rays, and a $50 copay for therapeutic radiological services.
Home Health Services See details
UHC Complete Care FL-14 (HMO-POS C-SNP) covers Home Health Services with no copay and no coinsurance. Prior authorization and a referral are required to receive these covered services.
Cardiac Rehabilitation Services See details
UHC Complete Care FL-14 (HMO-POS C-SNP) covers some cardiac rehabilitation services with no copay and no coinsurance, though prior authorization and referrals are required. However, standard cardiac rehabilitation, intensive cardiac rehabilitation, pulmonary rehabilitation, and supervised exercise therapy (SET) for symptomatic peripheral artery disease (PAD) services are not covered.
Skilled Nursing Facility (SNF) See details
UHC Complete Care FL-14 (HMO-POS C-SNP) covers Skilled Nursing Facility (SNF) services with no coinsurance, offering no copay for days 1 through 20 and a $218 daily copay for days 21 through 100. Prior authorization and referrals are required, but a prior three-day inpatient hospital stay is not.
Other Services See details
Other Services are partially covered by UHC Complete Care FL-14 (HMO-POS C-SNP), which offers over-the-counter (OTC) items and meal benefits with no copay and no coinsurance, though meals require prior authorization. Acupuncture, Other 1, Other 2, Other 3, and highly integrated services for dual eligible SNPs are not covered.
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